单侧唇腭裂患者二次牙槽骨移植后鼻和上唇变化的三维评估

IF 2.4 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Attapong Deedklin, Araya Pisek, Supaporn Kongsomboon, Poonsak Pisek
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引用次数: 0

摘要

简介:牙槽骨移植术(ABG)会影响面部软组织的变化,但对鼻子和上唇的确切影响仍不清楚。本研究使用三维(3D)面部图像来评估 ABG 后鼻子和上唇的变化。我们通过生成三维叠加图、彩色图以及对这些区域关键地标的偏差分析,进一步增强了这些变化的可视化:从 2022 年 9 月到 2023 年 9 月,40 名非综合征单侧唇腭裂(UCLP)患者(8-20 岁)接受了髂骨 ABG。对手术前 1 个月和手术后 3 个月的三维面部图像进行了分析,以评估 18 个鼻子和上唇地标的空间位移,从而评估 ABG 术后的变化。绘制了彩色图,还进行了三维偏差分析。采用配对样本 t 检验和 Wilcoxon 符号秩检验分析变化:结果:三维分析发现,仅在裂隙侧有明显的前移。结果:三维分析仅发现裂侧有明显的前移,包括鼻翼、鼻翼弧度和鼻翼下点。上唇的唇上肌也有类似的移动。相反,其他地标在各个方向的变化都很小:结论:ABG 可以改善鼻裂侧的鼻部轮廓。ABG 术后,鼻翼裂侧的鼻甲、鼻甲弧度和鼻甲下区域会出现明显的前移。虽然这些变化微乎其微,但却有助于面部美学的整体改善。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Three-Dimensional Evaluation of Changes in the Nose and Upper Lip After Secondary Alveolar Bone Grafting in Patients With Unilateral Cleft Lip and Palate.

Introduction: Alveolar bone grafting (ABG) influences facial soft tissue changes, but the precise effects on the nose and upper lip remain unclear. This study used three-dimensional (3D) facial images to evaluate nose and upper lip alterations after ABG. We further enhanced the visualisation of these changes by generating 3D superimpositions, colour maps and deviation analyses of key critical landmarks in these regions.

Materials and methods: Forty patients (8-20 years old) with non-syndromic unilateral cleft lip and cleft palate (UCLP) underwent ABG using the iliac bone from September 2022 to September 2023. Three-dimensional facial images were analysed 1 month before and 3 months after surgery to evaluate the spatial displacement of 18 nose and upper lip landmarks to assess changes after ABG. Colour maps were constructed, and 3D deviation analysis was also performed. Paired sample t tests and Wilcoxon's signed-rank tests were used to analyse alterations.

Results: The 3D analysis uncovered significant forward movement on the cleft side only. This included nasal alar, alar curvature and subalar points. The labrale superius of the upper lip showed similar movement. Conversely, other landmarks showed minimal changes in all directions.

Conclusions: ABG can improve the nasal contour on the cleft side. After ABG, significant forward movement occurs in the cleft side of the nasal alar, alar curvature and subalar regions. Although these changes are minimal, they contribute to the overall improvement in facial aesthetics.

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来源期刊
Orthodontics & Craniofacial Research
Orthodontics & Craniofacial Research 医学-牙科与口腔外科
CiteScore
5.30
自引率
3.20%
发文量
65
审稿时长
>12 weeks
期刊介绍: Orthodontics & Craniofacial Research - Genes, Growth and Development is published to serve its readers as an international forum for the presentation and critical discussion of issues pertinent to the advancement of the specialty of orthodontics and the evidence-based knowledge of craniofacial growth and development. This forum is based on scientifically supported information, but also includes minority and conflicting opinions. The objective of the journal is to facilitate effective communication between the research community and practicing clinicians. Original papers of high scientific quality that report the findings of clinical trials, clinical epidemiology, and novel therapeutic or diagnostic approaches are appropriate submissions. Similarly, we welcome papers in genetics, developmental biology, syndromology, surgery, speech and hearing, and other biomedical disciplines related to clinical orthodontics and normal and abnormal craniofacial growth and development. In addition to original and basic research, the journal publishes concise reviews, case reports of substantial value, invited essays, letters, and announcements. The journal is published quarterly. The review of submitted papers will be coordinated by the editor and members of the editorial board. It is policy to review manuscripts within 3 to 4 weeks of receipt and to publish within 3 to 6 months of acceptance.
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